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Medicines used across Wirral Health Economy

Below is a list of medicines that are approved for use on Wirral. Some medicines may only be prescribed in hospital, others may be prescribed by your GP. The list is updated every time a new medicine is approved for use in Wirral. Some medicines have been recommended by the National Institute for Health and Care Excellence (NICE). The middle column of the table below indicates recommendations made by NICE — eg, TA234 means that the medicine was reviewed in NICE technology appraisal number 234. Some of the medicines we use are recommended by specialists working from the Walton Centre NHS Foundation Trust or from the Cheshire and Wirral Partnership NHS Foundation Trust. These medicines are included in our formulary — however; the prescriber retains responsibility for the appropriate use of these medicines. These formularies are obtainable here:  http://www.panmerseyapc.nhs.uk/formulary/documents/04- 0800_antiepileptic_drugs.pdf  http://www.panmerseyapc.nhs.uk/formulary/documents/04-09- 00_parkinsonism.pdf  http://www.cwp.nhs.uk/pages/629-pharmacy-and-medicines-information

Comments Subject to NICE Drug Name recommendation

Abatacept TA195, TA280

Acamprosate

Acarbose

Accu-Chek Inform II® Reagent strips

AccuSol® 35 Potassium 4mmol/L Haemofiltration fluid

Acetazolamide

Acetylcysteine Paracetamol antidote

Acencoumarol

Acetic acid 5% solution

Acetone

Acitretin

Aciclovir

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Aclinidium

Actilite® Dressing

Activated Charcoal Antidote of many oral poisons

Activon® - see Honey dressing

Activon Tulle® - see Honey dressing

Actrapid® (Soluble Insulin) TA195, TA199, TA187, TA146, Adalimumab TA143, TA130 Adapalene (Differin®) 0.1% cream/gel

Adcal D3 / Forte

Addiphos®

Additrace

Adefovir dipivoxil TA96

Adenosine Additional use - off label, nebulized Adrenaline for croup (specialist advice only).

Aflibercept TA294, TA305

Alcohol

Alendronate TA160, TA161

Alfacalcidol

Alfentanil

Alfuzosin

Algivon® Dressing

Alemtuzumab

Alimemazine (Trimeprazine)

Aliskiren

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Alitretinoin TA177

Allantoin (Alphosyl HC®)

Allopurinol

Almotriptan SLS Schedule 11 – Erectile Alprostadil dysfunction TA264, TA122, Alteplase TA52

Aluminium acetate Aluminum acetate ear drops 13% (unlicensed)

Aluminium hydroxide (Alu-Caps®)

Alverine citrate

Amantadine Ametop® see gel

Amikacin Initiation under microbiology specialist advice only

Aminophylline

Amiodarone

Amisulpride

Amitriptyline

Amlodipine

Amorolfine Amoxicillin

Amphotericin

Amphotericin - Liposomal Intiation under microbiology (AmBisome®) specialist advice only Ampicillin

Amsacrine SPC on MHRA only (not EMC). Haematology and Malignant Disease

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Anagrelide

Anakinra

Anastrazole TA112 Unlicensed product available from Rosemount Pharmacueticals. Specialist use/initiation only - oral mucositis/oesophageal lesions associated with radiotherapy. Antacid and Oxetacaine

Anti-D immunoglobulin TA156 Anti-human thymocyte Haematology and malignant immunoglobuin disease

Antipeol® see zinc oxide

Anusol®

Aprepitant

Apixaban TA275, TA245 Intiation in a specialist clinic only. Treatment should remain under Apomorphine (APO-go®) specialist supervision.

Aquacel® Dressing

Aquacel Ag® Dressing

Aquacel ribbon® Dressing

Aquaform® Dressing Aqueous cream (SLS free) — ZeroAQS®

Aquagel

Arachis oil

Argatroban Indication - HIT Restricted use - Cheshire and Aripiprazole Wirral Partnership Trust

Artificial Saliva (Saliveze® Oral Spray

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Artificial tears

Ascorbic acid

Aspirin

Atazanavir (Reyataz®)

Atenolol

Atomoxetine TA98

Atorvastatin TA94 Indication – delay birth in pregnant Atosiban women

Atracurium

Atrauman® Dressing

Atrauman Ag® Dressing Antidote: organophosphorus or carbame insecticides. On Atropine bradycardia. Atripla® (Efavirenz 600mg, Anti-retroviral emtricitabine 200mg, tenofovir 245mg)

Auranofin

Aveeno®

Azacitadine TA218

Azathioprine Azithromycin

Aztreonam Initiation under microbiology specialist advice/guideline

Bacillus Calmette Guerin bladder installation Oral - historical use. Intrathecal pump not formulary. Baclofen

Bactroban®see Mupirocin

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Balsalazide

Balneum Plus® Bladder instillation is off label use – specialist use only – urology. BCG vaccine (intradermal)

Beclometasone Beclometasone / formeterol (Fostair®)

Bendamustine TA216

Bendroflumethiazide Benzathine Penicillin

Benzocaine gel (Ultracare®)

Benzoyl peroxide (Duac Once Daily®)

Benzydamine Mouthwash 0.15% Benzylpenicillin

Beta-carotene

Betadine®

Betahistine

Betamethasone 0.1% and Neomycin Sulfate 0.5% ointment

Bettamouse

Bevacizumab Dressing

Biatain Super®

Bicalutamide

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

For specialist use only - on advice of tissue viability service Biobag larvae dressings

BioFOAM® Dressing

Biotene Oral Balance gel®

Bisacodyl

Bisoprolol Haematology and malignant Bleomycin Disease

Boceprevir TA253

Bortezomib TA228, TA311

Bosentan

Botulinum toxin Type A & B Breast Milk Fortifier (Nutriprem BMF®)

Budesonide

Bumetanide ‘Special order’ preparations on JAC, also used in combination with fentanyl and adrenaline. Epidural combinations and addition of opioids at ward level.

Bupivacaine with adrenaline

Buprenorphine TA114

Bupropion

Buserelin Haematology and malignant Busulfan (Busulphan) disease

C1-esterase inhibitor

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Cabergoline For specialist use only (neonatal Caffeine citrate apnoea)

Calceos®

Calcichew D3 /Forte®

Calcipotriol

Calcitonin

Calcitriol

Calcium acetate (PhosLo®, Phosex®)

Calcium carbonate (Calcichew®) Antidote: Calcium channel blockers & systemic effects of hydrofluoric Calcium chloride acid Antidote to folic acid antagonists e.g. methotrexate, methanol and Calcium folinate formic acid

Calcium gluconate/gel Calcium resonium (Calcium polystyrene sulphonate)

Calfovit D3®

Calogen® Dietetic product

Canagliflozin TA315

Candesartan

Capsaicin Guidelines for test dose in Paeds Captopril

Carbamazepine

Carbimazole

Carbocisteine

Carboflex®

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Carboplatin

Carboprost (Hemobate®)

Carmellose (Celluvisc®) Haematology and malignant Carmustine disease Used as a diluent Carob bean gum

Carvedilol Caspofungin Initiation under microbiology specialist advice/guideline Cavilon®

Cefaclor Initiation under microbiology specialist advice/guideline Cefadroxil Initiation under microbiology specialist advice/guideline Cefalexin (Cephalexin) Initiation under microbiology specialist advice/guideline Cefradine (Cephradine) Initiation under microbiology specialist advice/guideline Ceftaroline Initiation under microbiology specialist advice/guideline Cefotaxime Initiation under microbiology specialist advice/guideline Ceftazidime Initiation under microbiology specialist advice/guideline Cefotaxime Initiation under microbiology specialist advice/guideline Ceftriaxone Initiation under microbiology specialist advice/guideline Initiation under microbiology Cefuroxime specialist advice/guideline

Celecoxib

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Certolizumab TA186

Cetirizine Cetraben® Emollient Bath Additive (Light Liquid Paraffin) Cetrimide (aqueous) 0.15%, chlorhexidine gluconate 0.015% in water (pre-sterilised sachet). (Tisept®) Cetrorelix

Charcoal see Activated Charcoal

Chloral hydrate

Chlorambucil Haematology and malignant disease Chloramphenicol

Chlordiazepoxide Chlorhexidine gluconate 0.05% antispetic solution (Unisept® pre- sterilised sachet) Chlorhexidine gluconate dressing (Biopatch®) Chlorhexidine gluconate 4% (Hydrex® Hibiscrub®) Chlorhexidine gluconate 0.5% in Used off label for skin cleaning ethanol antiseptic solution (Hydrex® prior to lumbar puncture, epidural solution) or spinal anaesthesia

Chlorhexidine gluconate 0.5% in 70% isopropyl alcohol antispetic solution with emollients (HiBi Liquid®) Chlorhexidine gluconate mouthwash 0.2%

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Chlorhexidine gluconate 2% in 70% Other applicator sizes available/on isopropyl alcohol (ChloraPrep® 3ml JAC applicator) Chlorhexidine gluconate 2% in 70% isopropyl alcohol (Clinell Blue® skin wipes)

Chlorhexidine 2% in IPA 70%

Chlorphenamine

Chlorpromazine

Choline salicylate gel

Chondroitin sulphate (Uracyst®)

Ciclosporin Cidofovir

Cilastatin

Cilostazol

Cinacalcet TA117 Ciprofloxacin

Haematology and malignant Cisplatin disease

Citalopram Cladribine Haematology and malignant disease Clarithromycin

Clenil Modulite® (Beclomethasone)

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Clindamycin

Dressing Clinisorb® Clobazam Initiation under specialist advice only (Walton Centre)

Clobetasol propionate (Dermovate®) Clobetasone butyrate (Eumovate®) (Trimovate®) Haematology and malignant Clofarabine disease Restricted use - Cheshire and Clomipramine Wirral Partnership Trust

Clonazepam

Clonidine

Clopidogrel TA210

Clotrimazole

Clozapine (Clozaril®)

Coal tar (Exorex®) Co-amoxiclav

Co-codamol

Co-cyprindiol

Co-danthramer

Codeine

Colchicine

Colecalciferol

Colestyramine Colistimethate Sodium TA276

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Colistin Co-beneldopa (Benserazide,levodopa) (Madopar®) Co-careldopa (Carbidopa/Levodopa) (Caramet®, Sinemet®)

Colestilan (granules only) Colomycin (Colistimethate sodium or Initiation under microbiology colistin sulfomethate sodium) specialist advice/guideline Combivir® (Zidovudine 300mg, Anti-retroviral lamivudine 150mg) Comfeel Plus dressing (contour, transparent & ulcer) ® Conotrane® Cream ( Benzalkonium chloride 0.1% w/w, dimeticone 22% w/w) Co-trimoxazole Creon® Haematology and malignant Crisantaspase (Asparaginase) disease Cyclizine Cyclopentolate (Minims®) Cyclophosphamide

Cyproheptadine Indication - serotonin syndrome Haematology and malignant Cytarabine disease

Dabigatran TA249, TA157 Dacarbazine Haematology and malignant disease Dactinomycin Haematology and malignant disease Dalivit®

Danaparoid

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Dantrolone Indication - neuroleptic malignant syndrome and other drug related hyperpyrexia Dapagliflozin TA288

Dapsone

Daptomycin Initiation under microbiology specialist advice only or W&C

Darbepoetin alfa (Aranesp®) TA142

Darunavir (Prezista®) Dasatinib Haematology and malignant disease

Daunorubicin Haematology and malignant disease Deferasirox

Deferiprone

Degarelix

Demeclocycline TA265, TA204 Denosumab

Dermamist® (White soft paraffin)

Dermol® Dermol 500®

Desferrioxamine

Desmopressin

Dexamethasone Dexamethaxone intravitreal implant (Ozurdex®) TA229 Restricted use – Cheshire and Dexamfetamine TA98 Wirral Partnership Trust

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Dextrosol®

Dialyvit (renal)

Diamorphine

Dianeal PD4 2500 ml 1.36% APD Fluid Yellow Dianeal PD4 5000 ml 1.36% APD Fluid Yellow Dianeal PD4 2500 ml 2.27% APD Fluid Green Dianeal PD4 5000 ml 2.27% APD Fluid Green Dianeal PD4 2500 ml 3.86% APD Fluid Orange Dianeal PD4 5000 ml 3.86% APD Fluid Orange Dianeal PD4 1500 ml 1.36%CAPD Fluid Yellow Dianeal PD4 2000 ml 1.36% CAPD Fluid Yellow Dianeal PD4 2500 ml 1.36% CAPD Fluid Yellow Dianeal PD4 1500 ml 2.27% CAPD Fluid Green Dianeal PD4 2000 ml 2.27% CAPD Fluid Green Dianeal PD4 2500 ml 2.27%CAPD Fluid Green Dianeal PD4 2000 ml 3.86% CAPD Fluid Orange

Diazepam

Diazoxide For specialist use only (W&C)

Diclofenac

Dicobalt edetate Antidote for cyanide

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Dicycloverine hydrochloride

Digoxin Digoxin Antibody (Digibind® or Antidote for digoxin and related Digifab®) glycosides

Dihydrocodeine

Diltiazem

Diltiazem MR

Dimethyl fumarate (Fumaderm®)

Dimethyl sulfoxide

Dimeticone For specialist (off-label) use only Dinoprostone injection (Paediatrics)

Dinprostone pessaries (Propess®) Other oral rehydration powders are Dioralyte® oral powder available Diphtheria/tetanus/ pertussis /polio/Hib vaccine (Pediacel®)

Diprobase®

Diprosalic

Dipyridamole MR TA210 Disodium pamidronate (see Pamidronate disodium)

Disulfiram

Dithranol (Dithrocream®)

Dobutamine Docusate (Dioctyl Paeditric Solution®)

Docusate sodium

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Domperidone

Donepezil TA217

Dopamine For specialist use only (Paediatrics)

Dornase alfa

Dorzolamide

Dosulepin

Doublebase®

Doxapram

Doxazosin Doxorubicin Haematology and malignant disease Doxycycline

Drapolene® cream

Dronedarone TA197

Duloxetine

Duocal® Not routinely available in secondary care. Extra thin restricted use with Neonatal Unit DuoDerm (Extra Thin & Signal) only.

Duotrav®

Dutasteride

Dydrogesterone

E45® Anti-retroviral

Efavirenz (Sustiva®)

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Efudix® Cream (fluorouracil)

Elemental E028

Eltrombopag TA293

Emollin® Emla® (lignocaine 2.5%, 2.5%)

Emulsifying ointment BP

Enalapril

Enbucrilate

Enoxaparin

Enoximone

Ensure Plus®

Entacapone (Comtess®)

Entecavir TA153

Epaderm®

Ephedrine

Epiduo®

Epinephrine Haematology and malignant Epirubicin disease

Eplerenone

Epoetin alfa (Eprex®)

Epoprostenol

Ergocalciferol (Calciferol, Vitamin D2) Ertapenem Initiation under microbiology specialist advice only

Erythromycin Restricted use – Cheshire and Escitalopram Wirral Partnership Trust

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Initiation under specialist advice Eslicarbazepine only (Walton Centre).

Esmolol

Estradiol Initiation under specialist advice Ethambutol only - TB eradication. TA195, TA199, TA143, TA130, Etanercept TA103, TA35 Ethanol 70% - 100% i.e. alcohol. Authorised users only – Pharmacy Ethanol Department is registered.

Ethanolamine oleate Initiation under specialist advice Ethosuximide only (Walton Centre).

Ethyl chloride spray

Etidronate TA160, TA161

Etomidate-lipuro Haematology and malignant Etoposide disease

Etoricoxib

Eurax® Cream (Crotamiton 10%)

Eviplera®

Exemestane TA112

Exenatide TA248 Extraneal Icodextrin 7.5% 2000 ml APD Fluid Purple

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Extraneal Icodextrin 7.5% 2000 ml CAPD Fluid Purple Extraneal Icodextrin 7.5% 2500 ml CAPD Fluid Purple

Ezetimibe TA132

Febuxostat TA164 Initiation under specialist advice Felbamate only (Walton Centre), unlicensed.

Felodipine MR

Fenofibrate (Supralip®, Lipantil®)

Fentanyl

Ferric carboxymaltose (Ferinject®)

Ferric subsulphate

Ferrous fumarate

Ferrous sulphate

Fexofenadine Fidaxomicin 200mg

Filgrastim

Finasteride

Flecainide Flucloxacillin

Fluconazole Restricted to paediatric use, Flucytosine microbiology advice only

Fludarabine TA119, TA29

Fludrocortisone

Fludroxycortide (Haelan®)

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Reversal of sedation of Flumazenil benzodiazepines

Fluocinolone acetonide (Synalar®)

Fluocinolone acetonide (Iluvien®) TA 301 Fluocinolone acetonide 0.025%, clioquinol 3%, (Synalar C®)

Fluocinonide (Metosyn®)

Fluorescein (Minims®) Sub conjunctival injection - Haematology and malignant Fluorouracil disease

Fluoxetine Initiation under specialist advice Flupentixol decanoate (Depixol®) only (Walton Centre) Initiation under specialist advice Fluphenazine (Modecate®) only (Walton Centre)

Fluticasone

Folic acid Antidote - ethylene glycol, Fomepizole methanol

Fondaparinux

Formoterol

Forticreme®

Fortisip Fosamprenavir (Telzir®)

Fosaprepitant

Foscarnet

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Fosfomycin Initiation under microbiology specialist advice only. Unlicensed.

Fosphenytoin Specialist use only – Obstetrics.

Fumaric acid

Furosemide Fusidic acid (including Fucidin H and Fucibet topical preparations) Used also off-label for tremors in Gabapentin PD/related disorders.

Galantamine TA217

Ganciclovir Ganfort® (Bimatoprost 0.3mg, Timolol 5mg)

Gardasil® (Human papillomavirus (type 6, 11, 16, 18) vaccine (adsorbed) suspension for injection 0.5ml pre-filled syringes)

Gastrografin

Gaviscon Advance®

Gelclair® Gentamicin

Haematology and malignant Gemcitabine disease Haematology and malignant Gemtuzumab disease

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Gliclazide

Glimepiride

Glucagon

Glucogel®

Glucose

Glucotabs®

Glycerin & Ichthammol BPC Unlicensed

Glycerol

Glyceryl trinitrate Ointment also used

Glyceryl trinitrate (GTN spray)

Glycopyrronium 6mg tablet Unlicensed Glycopyrronium bromide (glycopyrrolate) TA233, TA225,TA130, Golimumab TA220

Gonadorelin

Goserelin

Haloperidol Restricted use – Cheshire and Haloperidol decanoate (Haldol®) Wirral Partnership Trust

Havrix (hepatitis A) vaccine

HBVaxPro (hepatitis B) vaccine

Hemosol® BO

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Hartmann’s solution (Compound Sodium Lactate)

Heparin sodium

Hepatitis B immunoglobulin

Hepatitis B vaccine (Energix B®) Hib/meningococcal C vaccine (Menitorix®)

Hibisol

Honey dressing - Actilite®

Honey dressing - Activon Tulle®

Honey dressing - Activon Tube®

Honey dressing - Algivon® Humulin M3® (Biphasic Isophane Insulin)

Humalog® (Insulin Lispro) Humalog Mix 25® (Biphasic Insulin Lispro)

Human albumin solution 20% & 4.5%

Human Immunoglobulin IV infusion Human papilloma virus-HPV vaccine (Gardisal®) Haematology and malignant Hyaluronidase disease

Hydralazine

Hydrochloroquine

Hydrochlorothiazide

Hydrocortisone

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Hydrocortisone 1%, hydroquinone 5% in tretinoin 0.1% lotion

Hydrogen peroxide

Hydromol®

Hydroxocobalamin 1mg/1ml

Hydroxocobalamin (Cianokit®) Cyanide antidote

Hydroxycarbamide

Hydroxychloroquine

Hydroxyzine

Hyoscine butylbromide Unlicensed indication – hypersalivation. Restricted use – Cheshire and Wirral Partnership Hyoscine hydrobromide Trust

Hypromellose

Hypurin porcine

Ibandronate (Ibandronic acid)

Ibuprofen

Ichthopaste Idarubicin Haematology and malignant disease Iloprost

Ifosfamide Haematology and malignant disease Imatinib TA251, TA70

Imipenem Initiation under microbiology specialist advice only.

Imipenem with cilastatin 500mg IV

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Initiation under microbiology Imipramine specialist advice only. Indacaterol inhaler (Onbrez Breezhaler®)

Indacterol

Indapamide Indometacin (Indomethacin)

Industrial methylated spirits

Indigo carmine

TA195, TA199, TA187, TA163, Infliximab TA134, TA130

Influenza vaccine

Ingenol mebutate (Picato® gel) For pilot use

Inositol nicotate

Insulatard® (Isophane Insulin)

Intralipid 20%

Interferon alfa

Interferon gamma 1b

Intralipid

Intrasite® gel

Ipratropium

Iron dextran (Cosmofer®)

Iron dextran (Venofer®)

Isoflurane

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Initiation under specialist advice Isoniazid only for TB eradication.

Isoprenaline

Isopropyl alcohol

Isosorbide mononitrate

Isosorbide dinitrate

Isotretinoin (Isotrexin®)

Ispaghula husk

Isoplex Restricted use - laboratory Isopropyl alcohol 70% (IPA) medicine Isopropyl alcohol (705) wipe (Steret®) Restricted use - under the advice of Itraconazole microbiology only

Ivabradine TA267

Jevity®

Kabiven TPN® Kaletra® (Iopinavir 200mg, Ritonavir 50mg)

Kaltostat®

Ketamine

Ketoconazole

Ketodiastix®

Ketone test strips

Ketoprofen Kivexa® (Abacivir 600mg, lamivudine 300mg)

Labetalol

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Initiation under specialist advice Lacosamide only (Walton Centre).

Lacrilube

Lactulose

Lamivudine (Zeffix®)

Lamotrigine

Lanreotide

Lansoprazole Phosphate binder Lanthanum carbonate (Fosrenol®)

Lantus® (Insulin glargine) For specialist use only - on advice LarvE® of tissue viability service

Latanoprost

Laxido Orange®

Leflumonide

Lenalidomide TA171, TA322

Letrozole TA112

Leuprorelin

Levemir® (Insulin detemir)

Levetiracetam

Levobunolol Epidural prepared at ward level – in combination with Fentanyl as per W&C CSE guideline Levodopa (see Co-beneldopa or Co- careldopa) Levofloxacin

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Levothyroxine

Levomepromazine

Lidocaine

Lignocaine (Instillagel®) Linezolid Initiation under microbiology specialist advice only.

Liothyronine

Liquid paraffin (Lacrilube®) Liquid paraffin 50% in white soft paraffin

Liraglutide TA203

Lisinopril Lithium (Priadel®, Camcolit®, Liskonum®)

Lofepramine Restricted use – Cheshire and Lofexidine Wirral Partnership Trust

Loperamide

Loratidine

Lorazepam

Losartan

Lubiprostone

Lubricating jelly

Lucozade® Lyclear

Lymecycline

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Maalox Plus® Macrogols (Laxido Orange®, Movicol®, Movicol Paediatric Plain®) Macrogol ‘3350’ (polyethylene Antidote glycol) klean-Prep®

Maggots sterile

Magnesium citrate Unlicensed product

Magnesium glycerophosphate Unlicensed product

Magnesium sulphate Unlicensed product Magnesium-L-aspartate (Magnaspartate®)

Malathion

Mannitol TA266

Mantoux test

Maraviroc (Celsentri®)

Maxijul® Measles/mumps/rubella – MMR vaccine (Priorix®)

Mebendazole

Mebeverine

Medi-Test Combi 8®

Medroxyprogesterone

Mefenamic acid

Megestrol

Melatonin Unlicensed Haematology and malignant Melphalan disease

Memantine

Menadiol sodium phosphate

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Meningitec®( Neisseria meningitidis WUTH guidelines need updating as group C capsular polysaccharide DoH green book now recommends protein conjugate another meningococcal vaccine in primary immunization schedule. Meningococcal vaccine

Menitorix (HiB/MenC) vaccine

Menotrophin

Mepacrine

Mepivacaine

Mercaptopurine Haematology and malignant disease and Gastroenterology (SCP in development) Meropenem Initiation under microbiology specialist advice only

Mesalazine Indication - cyclophosphamide Mesna antidote

Metanium®

Metaraminol

Metformin Methadone TA114

Methenamine Hippurate

Methylprednisolone acetate Methlyprednisolone sodium succinate

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Methoxypsoralen

Methotrexate

Methyl-5-aminolevulinate

Methylphenidate TA98 ADHD - no guidance at WUTH Methylthioninium chloride Methaemoglobinaemia (methylene blue)

Methyldopa For specialist use only

Metoclopramide Metolazone

Metoprolol

Metronidazole

Miconazole Initiation under microbiology Micafungin specialist advice only

Microlax enema®

Midazolam Mifepristone

Minocycline

Mirabegron TA290

Mirtazapine

Misoprostol Haematology and malignant Mitomycin disease Haematology and malignant Mitoxantrone (Mitozantrone) disease MMR Vaccine – see Measles/Mumps/Rubella Vaccine

Moclobemide

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Modafinil

Moffet’s solution

Mometasone

Montelukast

Morphine

Mouthwash solution tablets

Movelat gel®

Movicol® see Macrogols

Moviprep® see Macrogols Moxifloxacin

Multivitamins

Mupirocin (Bactroban®) ointment 2%

Mycophenolate TA99, TA85

Myelotarg

N-acetylcysteine

Naftidrofuryl oxalate TA223 Nalidixic Acid

Naloxone Opioid antidote

Naltrexone TA115

Naproxen

Naseptin®

Natecal D3 Neomycin

Neostigmine

Nepro®

Nevirapine (Viramune®)

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Nicorandil Nicotine Inhalator (Nicorette Inhalator® 15mg; 10mg) Nicotine lozenge (Niquitin® Mini- lozenge 4mg; 1.5mg) Nicotine patch (Nicorette® 25mg; 15mg, Nicotinell® 21mg; 14mg) Nicotine replacement therapies - see individual listings Nilotinib TA251, TA241

Nicotinic acid MR (Niaspan®)

Nifedipine

Nimodipine

Nitrazepam

Nitric Oxide

Nitrofurantoin Initiation under microbiology specialist advice only Nitrous oxide (Entonox®, Equanox®)

Noradrenaline Restricted use for ITU/Theatres

Norethisterone

Nortriptyline NovoMix 30® (Biphasic Insulin Aspart)

NovoRapid® (Insulin Human Aspart)

Nutraplus® Nutrineal PD4 with 1.1% Amino Acid 2500mL APD Fluid Blue Nutrineal PD4 with 1.1% Amino Acid 2000 ml CAPD Fluid Blue

Nystaform HC®

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Nystatin Ocriplasmin TA297

Octaplex®

Octenidine hydrochloride (aqueous) 0.3% solution (Octenisan®) Octreotide

Ofatumumab Haematology and malignant disease Ofloxacin 0.3% eye drops

Oilatum®

Olanzapine

Olsalazine

Omalizumab (Xolair®) TA278 Omega-3-acid ethyl esters (Omacor®)

Omeprazole

Omnipaque®

Ondansetron

Opsite

Orabase paste

Ora-plus liquid

Ora-sweet syrup

Orlistat

Orphenadrine

Ortho-Gynest®

Oseltamavir (Tamiflu®) TA168, TA158

Osmolite

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Otomize® Ear spray (dexamenthasone 0.1%, neomycin 3250 units/ml)

Otrivine-Antistin® Restricted use – Cheshire and Oxazepam Wirral Partnership Trust

Oxcarbazepine

Oxetacaine

Oxybutynin

Oxycodone (OxyNorm®) (OxyContin®)

Oxygen

Oxytetracycline

Oxytocin (syntocinon®) Oxytocin/ergometrine (syntometrine®)

Pabrinex

Paliperidone

Palonosetron

Palivizumab (Synagis®)

Pamidronate disodium

Pancreatin For specialist use only (adult and Pancuronium bromide paediatric anaesthesia)

Pantoprazole Hong Kong regimen - IV

Paraldehyde

Paracetamol

Paraffin gauze

Paraffin, white soft BP

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Paraffin, yellow soft BP Paraldehyde and olive oil rectal solution

Paricalcitol Restricted use – Cheshire and Paroxetine Wirral Partnership Trust Pediacel® (Diptheria, Tetanus, Pertussis (Acellular Component), Poliomyelitis (Inactivated) and Haemophilus Type b Conjugated vaccine (adsorbed) Trace elements: Zinc, copper, manganese, selenium, fluorine, Peditrace® iodine

Peg-asparaginase

Pegfilgrastim TA200, TA106, Peginterferon alfa-2a TA96, TA75 TA200, TA106, Peginterferon alfa-2b TA96, TA75

Pegvisomant

Pethidine

Penicillamine Penicillin V (Phenoxymethylpenicillin) 500mg Haematology and malignant Pentamidine isethionate disease. Nebuliser solution

Pentasa® see Mesalazine

Pentosan polysulphate

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Pentostatin

Pentoxifylline

Peppermint water BP Initiation under specialist advice Perampanel only (Walton Centre)

Perfluorodecalin liquid

Perfluorooctane liquid

Permethrin (Lyclear Dermal Cream®) Phenobarbitone (Phenobarbital sodium)

Perindopril

Pethidine

Phenindione

Phenylephrine

Phenol

Phenytoin

Pethidine ?reversal of anaesthetic - Phentolamine

Phenylketonuria reagent strips

Pholcodine

Phosphate

Phosphate enema

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Phosphate Sandoz® (Sodium acid phosphate anhydrous) Physioneal 40 2500 ml 1.36% APD Fluid Yellow Physioneal 40 2500 ml 2.27% APD Fluid Green Physioneal 40 2500 ml 3.86% APD Fluid Orange Physioneal 40 2000 ml 1.36% CAPD Fluid Yellow Physioneal 40 2500 ml 1.36% CAPD Fluid Yellow Physioneal 40 2000ml 2.27% CAPD Fluid Green Physioneal 40 2500 ml 2.27% CAPD Fluid Green Physioneal 40 2000 ml 3.86% CAPD Fluid Orange Physioneal 40 2500 ml 3.86% CAPD Fluid Orange Physioneal 40 CLEARFLEX 5000 ml 1.36% APD Fluid Yellow Physioneal 40 CLEARFLEX 5000 ml 2.27% APD Fluid Green Physioneal 40 CLEARFLEX 5000 ml 3.86% APD Fluid Orange Phytomenadione (Konakion MM® Paediatric )

Picolax®

Pilocarpine (Minims®)

Pimecrolimus (Elidel®) TA82

Pioglitazone

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Piperacillin/Tazobactam

Pipotiazine decanoate (Piportil®) Restricted use – Cheshire and Wirral Partnership Trust Initiation under specialist advice Piracetam (Nootropil®) only (Walton Centre)

Piroxicam

Pivmecillinam

Pixantrone TA306

Pneumococcal vaccine (Prevenar®)

Plasma-Lyte®

Polytar®

Pomalidomide

Poractant alpha (Curosurf®)

Potassium chloride

Potassium permanganate Povidone iodine 7.5% (aqueous) (Videne® surgical scrub) Povidone iodine 10% (aqueous) (Videne® antiseptic solution) Povidine iodine 10% (alcoholic) in Industrial Methylated Spirit (IMS) antiseptic solution (Videne® alcoholic tincture) Povidine iodine 5% (aqueous) Unlicensed product opthalmic solution

Pramipexole Pramipexole MR (Mirapexin® Prolonged Release)

Prasugrel TA182

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Pravastatin TA94

Precipitated sulphur (Sebco®)

Prednisolone

Pregabalin Antenatal guidelines recommend Pregaday®(ferrous fumarate 305mg, Pregaday®- other brands now folic acid 350micrograms) available. Pre-digested formula milk – recommended in Stoma Care (Newborn) Guideline but not been Pregestimil® used at WUTH to date. Prevenar 13® (Pneumococcal polysaccharide conjugate vaccine (adsorbed)) Initiation under specialist advice Primidone (Mysoline®) only (Walton Centre)

PrismaSol® Haemofiltration fluid

Pro-cal® Dietetic productb Haematology and malignant disease Procarbazine

Prochlorperazine

Procyclidine

Indication: dystonic reactions Procyclidine injection

Promethazine

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Prontosan® (Polyhexamethylene biguanide (PHMB) 0.1%, betaine 0.1) wound irrigation solution

Propess®see Dinoprostone

Propofol

Propranolol

Propylthiouracil

Protamine sulphate Antidote to Unfractionated

Proxymetacaine (Minims®)

Prucalopride TA211

Pseudoephedrine

Puvapsoralen 1.2% bath additive Initiation under specialist advice Pyrazinamide only for TB eradication. For specialist use only (paediatrics) under advice from tertiary centre. Tablets and injection are unlicensed product available from ‘special-order’ manufacturers or specialist importing companies.****Also use to treat neuropathy associated with isoniazid - no guideline at WUTH Pyridoxine hydrochloride but BNF dosing available.

Quetiapine

Quinine sulphate

Qvar®

Raltegravir (Isentress®) TA160, TA161

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Ramipril TA274, TA283, Ranibizumab TA298, TA155

Ranitidine

Ranolazine

Rasagiline (Azilect®)

Rasburicase

Ratelgravir (Isentress®)

Remifentanil

Repaglinide

Repevax vaccine Resonium A (Sodium polystyrene sulphonate) Initiation under specialist advice Retigabine only (Walton Centre). Revaxis® (Adsorbed Diphtheria [low dose], Tetanus and Poliomyelitis (Inactivated) Vaccine) TA106, TA75, Ribavirin TA200 Rifampicin

Initiation under Motor Neurone Disease specialist advice only - supervision under shared care Riluzole TA20 thereafter.

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Risedronate TA160, TA161

Risperidone Restricted use – Cheshire and Wirral Partnership Trust

Risperdal Consta® Specialist Consultant initiation only Ritodrine – Obstetrics

Ritonavir (Norvir®) TA243, TA110, TA226, TA195, TA193, TA174, TA137, TA65, Rituximab TA306 TA261, TA256 , Rivaroxaban TA170, TA287

Rivastigmine TA217 For specialist use only (paediatric Rocuronium bromide anaesthesia)

Romiplostim TA221

Ropinirole (Requip®)

Rotavirus vaccine (Rotarix®)

Rotigotine (Neupro® patches) Initiation under specialist advice Rufinamide only (Walton Centre).

Salbutamol

Salicylic acid (Capasal®) (Salatac®)

Salmeterol Sandocal® 1000 effervescent tabets (calcium 1000mg or 25mmol)

Saxagliptin

Selegiline (Zelapar®)

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Semisodium Valproate(Depakote®)

Senna

Seretide® (fluticasone/salmeterol)

Sertindole

Sertraline

Sevelamer hydrochloride (Renagel®) SLS Schedule 11 – Erectile Sildenafil dysfunction

Silver nitrate

Silver sulphadiazine

Simple Linctus BP

Simvastatin

Sirolimus

Sitagliptin

Sodium aurothiomalate Sleepsafe Balance 5000 mL 1.5% APD Fluid Sleepsafe Balance 5000 mL 2.3% APD Fluid Sleepsafe Balance 5000 mL 4.25% APD Fluid

Smoflipid

Sodium bicarbonate Emergency for TCA & class Ia & Ic antiarrhythmic drugs. Urinary Sodium bicarbonate 8.4% and 1.26% alkalinisation

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

For specialist use only (paediatrics). Unlicensed product available from Sodium chloride oral solution ‘special-order’ manufacturers or 5mmol/ml specialist importing companies

Sodium chloride 0.9% Sodium chloride 0.9% (aqueous) (Normasol®)

Sodium citrate

Sodium cromoglicate

Sodium feredetate (Sytron®) Sodium fusidate

Sodium glycerophosphate

Sodium hyaluronate Sodium Lactate (Compound) - See Hartmann’s Solution

Sodium nitrite Cyanide antidote

Sodium nitroprusside

Sodium picosulfate

Sodium tetradecyl sulphate

Sodium thiosulphate Cyanide antidote

Sodium valproate Sofradex® Ear drops ( 0.05%, framycetin 0.5%, gramicidin 0.005%)

Solifenacin

Solution G (citrate solution)

Solvito N®

Somatropin (growth hormone) TA188

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Sorbsan®

Sotalol

Spironolactone Stalevo® (Levodopa, carbidopa, entacapone) Staysafe Balance 2000 mL 1.5% CAPD Fluid Staysafe Balance 2000 mL 2.3% CAPD Fluid Staysafe Balance 2000 mL 4.25% CAPD Fluid

Steripaste bandages Initiation under specialist advice Stiripentol only (Walton Centre)

Streptokinase TA52 Initiation under specialist advice Streptomycin only for TB eradication.

Strontium ranelate TA160, TA161 Suboxone® Restricted use – Cheshire and (Buprenorphine/naloxone) Wirral Partnership Trust

Succinylated gelatin 4%(Isoplex®) For specialist use only (paediatrics). Unlicensed product available from ‘special-order’ manufacturers or Sucrose 24% liquid specialist importing companies

Sudocrem®

Sulfasalazine

Sulfinpyrazone

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Sulphamethoxypyiridazine

Sulphur hexafluoride Off-label use for chorea. Initiation under specialist advice only (Walton Centre or Cheshire and Sulpiride (Sulpor®) Wirral Partnership Trust) Initiation under specialist advice only (Walton Centre). Unlicensed Sultiame (Sulthiame)

Sumatriptan

Sustanon 250® Suxamethonium chloride For specialist use only (adult and (succinylcholine chloride) paediatric anaesthesia).

Symbicort® (budesonide/formeterol)

Synalar® see Fluocinolone acetonide

Synthamin 17

Syntometrine® (Ergometrine maleate 500 micrograms and Oxytocin 5IU)

Tacalcitol (Curatoderm®)

Tacrolimus (Protopic®) TA99, TA85, TA82 SLS Schedule 11 – Erectile Tadalafil TA273 dysfunction

Talc (sterile)

Tamoxifen

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Tamsulosin hydrochloride

Taurolock Hep 500® line lock

Taurolock Urokinase line lock Teicoplanin Initiation under microbiology specialist advice only.

Telaprevir TA252

Temazepam Temocillin Initiation under microbiology specialist advice only.

Tenecteplase TA52

Tenofovir (Viread®) TA173

Terbinafine

Terbutaline

Teriparatide TA161

Terlipressin

Testosterone 2% Gel (Tostran®) Tetanus/diphtheria/polio vaccine (Revaxis®) Tetrabenazine Initiation under specialist advice only (Walton Centre) Tetracycline

Tetracaine gel 4%

Tetracosactide (Synacthen®)

Thalidomide TA228

Theophylline IV

Theophylline MR (Uniphyllin®)

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Thiamine

Thick & Easy Thiopental sodium (thiopentone For specialist use only (adult and sodium) paediatric anaesthesia)

Thymol - mouthwash tablets Initiation under specialist advice Tiagabine only (Walton Centre)

Tibolone

Ticagrelor TA236 Tigecycline Restricted antibiotic

Timolol Restricted to use in specialist guidance only (W&C, Haematology Tinzaparin and malignant disease).

Tiotropium

Tirofiban Tispet® see cetrimide

Tobramycin TA276

Tocilizumab TA247, TA238

Tolcapone (Tasmar®)

Tolterodine MR

Topiramate Also used off-label for tremors.

Total parenteral nutrition

Tramadol

Tranexamic acid

Travoprost

Trazodone

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Tresiba (insulin degludec)

Tretinoin (Retin-A®) Triadcortyl® cream/ointment (triamcinolone 0.1%, gramicidin 0.025%, neomycin 0.25%, nystatin 100.000 units/g)

Triamcinolone acetonide

Trichloroacetic acid Restricted use to patients who are sensitive to standard skin Triclosan 1% (aqueous) (Skinsan®) decontaminants. Restricted use – Cheshire and Trifluoperazine Wirral Partnership Trust

Trihexyphenidyl Trimethoprim

Restricted use – Cheshire and Trimipramide Wirral Partnership Trust

Trimovate® Triptorelin Trizivir® (Abacavir 300mg, lamivudine 150mg, zidovudine 300mg)

Tropicamide (Minims®)

Trospium chloride Truvada® (Tenofovir 245mg, emtricitabine 200mg)

Tryptophan

Tuberculin PPD

Unfractioned heparin

Ulipristal (ellaOne®)

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Urokinase

Ursodeoxycholic acid

Ustekinumab TA180

Uvistat sunscreen

Valganciclovir Valproic acid (Depakote®) Vaminolact® Protein source for TPN Vancomycin Including unlicensed and extemporaneous preparations Vardenafil SLS Schedule 11 – Erectile dysfuncion Varenicline TA123 Varicella vaccine Vasopressin Vecuronium bromide For specialist use only (paediatric anaesthesia). Venlafaxine Verapamil Versiva XC® Vigabatrin Initiation under specialist advice only (Walton Centre). Vinblastine Haematology and malignant disease Vincristine Haematology and malignant disease Vindesine sulphate Vinorelbine Haematology and malignant disease Viper venom antiserum, European Antidote of Vipera berus Viscoat syringe

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Viscopaste bandages Viscotears® Vitamin A aqueous oral solution For specialist use only (retinol) (paediatrics). Unlicensed product available from ‘special-order’ manufacturers or specialist importing companies.

Vitamin B compound strong Vitamin C (ascorbic acid) Vitamin E suspension (alpha For specialist use only tocopherol acetate) (paediatrics). Unlicensed product available from ‘special-order’ manufacturers or specialist importing companies.

Vitlipid® and Intralipid®

Vitlipid® and Smoflipid®

Vitlipid® and sodium chloride

Vitlipid N® TPN fat source Volumatic (and Volumatic Paediatric) devices Voriconazole Initiation under microbiology specialist advice only Vorinostat Haematology and malignant disease Warfarin Warticon cream Water for injection / irrigation Xalacom® Xanthan gel Xupad® Xylometazoline Xyloproct® Zaleplon TA77 Zanamivir (Relenza®) TA168, TA158

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6

Zidovudine (Retrovir®) Zipzoc dressings

Wirral Medicines Formulary (November 2014) Author: Medicines Management Team Approved by: Wirral Drug and Therapeutics Panel Review date: March 2015 Version 6